Hurricane Sandy Exposure and the Mental Health of World Trade Center Responders.

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Title: Hurricane Sandy Exposure and the Mental Health of World Trade Center Responders.
Authors: Bromet, Evelyn J., Clouston, Sean, Gonzalez, Adam, Kotov, Roman, Guerrera, Kathryn M., Luft, Benjamin J.
Source: Journal of Traumatic Stress. Apr2017, Vol. 30 Issue 2, p107-114. 8p. 2 Charts.
Subjects: Hurricane Sandy, 2012, Post-traumatic stress disorder, Mental depression, Mental health, Natural disasters, Diagnosis of mental depression, Diagnosis of post-traumatic stress disorder, Terrorism & psychology, Medical emergencies, Disasters, Longitudinal method, Questionnaires, Research funding, Odds ratio, Psychology
Geographic Terms: New York (State)
Abstract: The psychological consequences of a second disaster on populations exposed to an earlier disaster have rarely been studied prospectively. Using a pre- and postdesign, we examined the effects of Hurricane Sandy on possible World Trade Center (WTC) related posttraumatic stress disorder (PTSD Checklist score of ≥ 50) and overall depression (major depressive disorder [MDD]; Patient Health Questionnaire depression score of ≥ 10) among 870 WTC responders with a follow-up monitoring visit at the Long Island WTC Health Program during the 6 months post-Hurricane Sandy. The Hurricane Sandy exposures evaluated were damage to home (8.3%) and to possessions (7.8%), gasoline shortage (24.1%), prolonged power outage (42.7%), and filing a Federal Emergency Management Agency claim (11.3%). A composite exposure score also was constructed. In unadjusted analyses, Hurricane Sandy exposures were associated with 1.77 to 5.38 increased likelihood of PTSD and 1.58 to 4.13 likelihood of MDD; odds ratios for ≥ 3 exposures were 6.47 for PTSD and 6.45 for MDD. After adjusting for demographic characteristics, WTC exposure, pre-Hurricane Sandy mental health status, and time between assessments, reporting ≥ 3 Hurricane Sandy exposures was associated with a 3.29 and 3.71 increased likelihood of PTSD and MDD, respectively. These findings underscore the importance of assessing the impact of a subsequent disaster in ongoing responder health surveillance programs. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Traumatic Stress is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Hurricane Sandy Exposure and the Mental Health of World Trade Center Responders.
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  Data: <searchLink fieldCode="AR" term="%22Bromet%2C+Evelyn+J%2E%22">Bromet, Evelyn J.</searchLink><br /><searchLink fieldCode="AR" term="%22Clouston%2C+Sean%22">Clouston, Sean</searchLink><br /><searchLink fieldCode="AR" term="%22Gonzalez%2C+Adam%22">Gonzalez, Adam</searchLink><br /><searchLink fieldCode="AR" term="%22Kotov%2C+Roman%22">Kotov, Roman</searchLink><br /><searchLink fieldCode="AR" term="%22Guerrera%2C+Kathryn+M%2E%22">Guerrera, Kathryn M.</searchLink><br /><searchLink fieldCode="AR" term="%22Luft%2C+Benjamin+J%2E%22">Luft, Benjamin J.</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Hurricane+Sandy%2C+2012%22">Hurricane Sandy, 2012</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Natural+disasters%22">Natural disasters</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis+of+mental+depression%22">Diagnosis of mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis+of+post-traumatic+stress+disorder%22">Diagnosis of post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Terrorism+%26+psychology%22">Terrorism & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+emergencies%22">Medical emergencies</searchLink><br /><searchLink fieldCode="DE" term="%22Disasters%22">Disasters</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology%22">Psychology</searchLink>
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  Data: The psychological consequences of a second disaster on populations exposed to an earlier disaster have rarely been studied prospectively. Using a pre- and postdesign, we examined the effects of Hurricane Sandy on possible World Trade Center (WTC) related posttraumatic stress disorder (PTSD Checklist score of ≥ 50) and overall depression (major depressive disorder [MDD]; Patient Health Questionnaire depression score of ≥ 10) among 870 WTC responders with a follow-up monitoring visit at the Long Island WTC Health Program during the 6 months post-Hurricane Sandy. The Hurricane Sandy exposures evaluated were damage to home (8.3%) and to possessions (7.8%), gasoline shortage (24.1%), prolonged power outage (42.7%), and filing a Federal Emergency Management Agency claim (11.3%). A composite exposure score also was constructed. In unadjusted analyses, Hurricane Sandy exposures were associated with 1.77 to 5.38 increased likelihood of PTSD and 1.58 to 4.13 likelihood of MDD; odds ratios for ≥ 3 exposures were 6.47 for PTSD and 6.45 for MDD. After adjusting for demographic characteristics, WTC exposure, pre-Hurricane Sandy mental health status, and time between assessments, reporting ≥ 3 Hurricane Sandy exposures was associated with a 3.29 and 3.71 increased likelihood of PTSD and MDD, respectively. These findings underscore the importance of assessing the impact of a subsequent disaster in ongoing responder health surveillance programs. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Traumatic Stress is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1002/jts.22178
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 107
    Subjects:
      – SubjectFull: Hurricane Sandy, 2012
        Type: general
      – SubjectFull: Post-traumatic stress disorder
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Natural disasters
        Type: general
      – SubjectFull: Diagnosis of mental depression
        Type: general
      – SubjectFull: Diagnosis of post-traumatic stress disorder
        Type: general
      – SubjectFull: Terrorism & psychology
        Type: general
      – SubjectFull: Medical emergencies
        Type: general
      – SubjectFull: Disasters
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Odds ratio
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      – SubjectFull: Psychology
        Type: general
      – SubjectFull: New York (State)
        Type: general
    Titles:
      – TitleFull: Hurricane Sandy Exposure and the Mental Health of World Trade Center Responders.
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            NameFull: Clouston, Sean
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            NameFull: Gonzalez, Adam
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            NameFull: Kotov, Roman
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            NameFull: Guerrera, Kathryn M.
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              Text: Apr2017
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              Y: 2017
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